| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,785 |
33,369 |
$1.16M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,056 |
7,291 |
$519K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,340 |
6,501 |
$450K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,928 |
5,229 |
$391K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,197 |
3,751 |
$297K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34,387 |
15,106 |
$294K |
| S8301 |
Infection control supplies, not otherwise specified |
9,428 |
8,009 |
$255K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,212 |
4,722 |
$101K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,244 |
2,393 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,699 |
1,522 |
$65K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,686 |
1,170 |
$54K |
| 99381 |
|
880 |
798 |
$54K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,581 |
5,487 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
995 |
865 |
$43K |
| 90461 |
|
8,170 |
6,243 |
$43K |
| 97802 |
|
11,736 |
10,464 |
$39K |
| 99460 |
|
584 |
546 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,843 |
2,582 |
$32K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
727 |
673 |
$28K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
425 |
316 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
478 |
437 |
$21K |
| 99001 |
|
4,226 |
2,386 |
$18K |
| 99383 |
|
300 |
251 |
$18K |
| 99442 |
|
500 |
487 |
$18K |
| 99384 |
|
202 |
184 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,744 |
909 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,441 |
1,238 |
$13K |
| 92551 |
|
5,618 |
4,998 |
$13K |
| 99382 |
|
167 |
116 |
$7K |
| 83655 |
|
1,403 |
1,255 |
$7K |
| 99050 |
|
520 |
468 |
$7K |
| 96160 |
|
8,025 |
6,210 |
$6K |
| 99422 |
|
617 |
566 |
$5K |
| 94760 |
|
3,608 |
3,301 |
$4K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
111 |
90 |
$4K |
| 0001A |
|
122 |
120 |
$3K |
| 99462 |
|
82 |
68 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
28 |
$2K |
| 0071A |
|
50 |
50 |
$2K |
| 94761 |
|
927 |
850 |
$2K |
| 0002A |
|
115 |
110 |
$2K |
| 90677 |
|
773 |
717 |
$2K |
| 86769 |
|
64 |
16 |
$1K |
| 85018 |
|
1,437 |
1,279 |
$1K |
| 86328 |
|
19 |
19 |
$859.37 |
| 96161 |
|
4,605 |
3,996 |
$703.26 |
| 36415 |
Collection of venous blood by venipuncture |
493 |
414 |
$593.32 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
12 |
$467.49 |
| 87807 |
|
66 |
40 |
$436.41 |
| 99441 |
|
18 |
18 |
$416.24 |
| 81002 |
|
98 |
93 |
$269.64 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
14 |
$176.88 |
| 87400 |
|
28 |
15 |
$154.31 |
| 81003 |
|
48 |
42 |
$75.60 |
| 90734 |
|
1,293 |
1,127 |
$27.89 |
| 90670 |
|
4,753 |
4,234 |
$27.72 |
| A9150 |
Non-prescription drugs |
211 |
189 |
$24.62 |
| 36416 |
|
468 |
409 |
$24.30 |
| 90648 |
|
5,512 |
4,915 |
$24.11 |
| 99173 |
|
7,798 |
6,945 |
$14.44 |
| 90686 |
|
5,969 |
5,299 |
$1.53 |
| 90723 |
|
6,558 |
3,642 |
$0.90 |
| 90620 |
|
891 |
765 |
$0.49 |
| 90651 |
|
1,492 |
1,338 |
$0.23 |
| 91307 |
|
138 |
131 |
$0.20 |
| 90715 |
|
666 |
535 |
$0.14 |
| 90710 |
|
3,288 |
2,102 |
$0.11 |
| 90681 |
|
1,889 |
1,686 |
$0.11 |
| 90633 |
|
2,508 |
2,221 |
$0.05 |
| 90688 |
|
627 |
548 |
$0.04 |
| 91300 |
|
352 |
328 |
$0.03 |
| 90696 |
|
962 |
729 |
$0.03 |
| 90700 |
|
961 |
740 |
$0.01 |
| G9920 |
Screening performed and negative |
212 |
210 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
165 |
161 |
$0.00 |
| 99080 |
|
15 |
12 |
$0.00 |
| 99051 |
|
25 |
25 |
$0.00 |